DR. MIRA GHALY DMD, MSC
NPI 1144671397
Dentist - Periodontics in Augusta, GA

Active since June 29, 2016PECOS Enrolled
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912(706) 721-2442 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Oct 22, 2021, Mar 23, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Mira Ghaly Dmd, Msc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRA GHALY DMD, MSC (NPI 1144671397) is an individual periodontics provider in Augusta, Georgia, licensed in Georgia (DN015842) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144671397
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MIRA GHALYCredential: DMD, MSC
Location Address1430 JOHN WESLEY GILBERT DRAugusta, GA 30912-0001
Mailing Address1430 John Wesley Gilbert DrAugusta, GA 30912-0001 · (706) 721-2442
Sole ProprietorNo
Enumeration DateJune 29, 2016
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1144671397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in GA · DN015842 Licensed in GA · DNCS000514
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1430 JOHN WESLEY GILBERT DR, Augusta, GA 30912

Other Identifiers 1

Medicaid00321649AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mira Ghaly Dmd, Msc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Dentist (General Practice)
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Dentist
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Dentist (General Practice)
1430 JOHN WESLEY GILBERT DR, GC 1012
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Ghaly's NPI number?

The NPI number for Mira Ghaly is 1144671397. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Mira Ghaly located?

Mira Ghaly practices at 1430 John Wesley Gilbert Dr, Augusta, GA 30912. The listed phone number is (706) 721-2442.

What is Mira Ghaly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mira Ghaly enrolled in Medicare?

Yes. Mira Ghaly is registered in the Medicare PECOS enrollment system.

What insurance does Mira Ghaly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mira Ghaly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mira Ghaly was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.